HR 5273 · 114th Congress · Health
Helping Hospitals Improve Patient Care Act of 2016
Bill Progress
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Introduced✓
Committee✓
House Vote4
Senate5
EnactedLatest: Received in the Senate and Read twice and referred to the Committee on Finance.(2016-06-08)
Plain Language Summary
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Helping Hospitals Improve Patient Care Act of 2016 The bill amends title XVIII (Medicare) of the Social Security Act to alter provisions related to hospital services, medical services, and Medicare Advantage (MA). With respect to claims for hospital services, the Centers for Medicare & Medicaid Services (CMS) shall develop codes under the Healthcare Common Procedure Coding System (HCPCS) for similar inpatient and outpatient hospital services. The bill establishes processes for adjusting a hospital's Medicare payments based on the hospital's overall proportion of inpatients who are dually eligible for Medicare and Medicaid. The bill extends for five years the Rural Community Hospital Demonstration Program, through which Medicare pays certain rural hospitals on the basis of reasonable incurred costs rather than under the standard prospective payment system. With respect to long-term care hospitals, the bill lifts a moratorium on bed increases. The bill reduces rates for high-cost outlier payments, which are additional Medicare payments made in extraordinarily high-cost cases. The bill reduces the amount by which hospital payment rates for inpatient services increase in …
Summarized by Claude AI · Non-partisan · For informational purposes only
CBO Cost Estimate
Congressional Budget OfficeH.R. 5273, Helping Hospitals Improve Patient Care Act of 2016
Jun 3, 2016As ordered reported by the House Committee on Ways and Means on May, 24 2016
Full CBO report ↗Official non-partisan budget analysis by the Congressional Budget Office